Individual
AELITA KHACHATRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
558 SAINT CHARLES DRIVE, SUITE 110, 111, 124, 204, THOUSAND OAKS, CA 91360-3967
(951) 278-5590
(951) 272-9924
Mailing address
PO BOX 77790, CORONA, CA 92877-0126
(951) 278-5590
(951) 272-9924
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A127694
CA
Other
Enumeration date
04/25/2011
Last updated
08/09/2017
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